Individual provider Active NPI

Deana Smith, LSW

  • Professional Counselor
  • Hamilton, NJ
National Provider Identifier
1346847563
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SW-GTL-20-01595. Issued in NJ
Practice address
2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone
(609) 222-4902
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X SW-GTL-20-01595. NJ Primary

Addresses

Primary practice location

2083 Klockner Rd
Hamilton, NJ 08690-3415

Mailing address

334 Glenn Ave
Lawrence Township, NJ 08648-3255
Phone (609) 433-2836

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://mindyourmindnj.com/ MIND YOUR MIND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW-GTL-20-01595.NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Your Mind CurrentSince Oct 4, 2020 Accepting new patients

Locations

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346847563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 GLENN AVE",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086483255",
            "telephone_number": "609-433-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903415",
            "telephone_number": "609-222-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEANA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "SW-GTL-20-01595.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mindyourmindnj.com/",
            "affiliation": "Y",
            "affiliationName": "MIND YOUR MIND",
            "address_1": "2083 Klockner Rd",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086903415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.